The Pathway to Developing a Competency-based Tool for Entry-level Nursing Simulation: A Delphi Study

Heather S. Cole, Megan P. Lippe, Donna S. Guerra

Research output: Contribution to journalArticlepeer-review


Background: Simulation-based learning experiences allow undergraduate nursing students to develop competence and confidence through deliberate practice with immediate feedback on the learner's performance through debriefing. With the transition to competency-based nursing education, nursing faculty need more guidance in implementing competency-based evaluations in the simulation setting. Purpose: This Delphi study aims to inform the future development of a competency-based tool – SimComp – based on the American Association of Colleges of Nursing (AACN) Essentials. Methods: A Delphi framework was used to recruit expert nursing faculty to complete the surveys via an online platform. Data analysis occurred through open-ended questions and quantitative methods to ensure that the responses from expert panelists were used to form the results. Results: After four rounds of this Delphi study, a consensus was achieved on 111 appropriate items for assessing competence in the simulation-based learning environment. Conclusion: While further research is warranted, this study provides insight for nursing institutions considering implementing or increasing the use of simulation within their program for competency-based evaluations.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalJournal of Professional Nursing
StatePublished - Jul 1 2024


  • Competency-based
  • Evaluation
  • Nursing
  • Simulation
  • Undergraduate

ASJC Scopus subject areas

  • General Nursing


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